
<div  class="am-u-sm-12 widget" style="margin:10px ;">
	<form class="am-form-inline tpl-form-border-form">
		<input type="hidden" name="id" name="id" value="{$item.id}" />
		<div class="am-u-sm-8">
			<div class="am-u-sm-12" style="margin-bottom:10px ;">
				<div class="am-u-sm-6 cl-p" >
					<label for="user-name" class="am-u-sm-4 am-form-label cl-p" style="line-height: 35px;">司机： </label>
					<div class="am-form-group am-u-sm-8 cl-p" >
						<div class="am-u-sm-12 cl-p">
							<input type="text" class="am-form-field tpl-form-no-bg drivername"  name="name" value="{$item.name}" data-method="driver" style="line-height: 21px;" placeholder="点击选择司机" readonly="">
						</div>
					</div>
				</div>
				<div class="am-u-sm-6 cl-p">
					<label for="user-name" class="am-u-sm-4 am-form-label cl-p" style="line-height: 35px;">劳务公司： </label>
					<div class="am-form-group am-u-sm-8 cl-p" >
						<div class="am-u-sm-12 cl-p" >
							<input type="text" class="am-form-field tpl-form-no-bg companyname" style="line-height: 21px;" data-method="company"  name="company" value="{$item.company}"  placeholder="点击选择劳务公司" readonly="">
						</div>
					</div>
				</div>
			</div>

			<div class="am-u-sm-12" style="margin-bottom:10px ;">
				<div class="am-u-sm-6 cl-p">
					<label for="user-name" class="am-u-sm-4 am-form-label cl-p" style="line-height: 35px;">合同编号： </label>
					<div class="am-form-group am-u-sm-8 cl-p" >
						<div class="am-u-sm-12 cl-p">
							<input type="text" class="tpl-form-input" style="line-height: 21px;" />
						</div>
					</div>
				</div>
				<div class="am-u-sm-6 cl-p">
					<label for="user-name" class="am-u-sm-4 am-form-label cl-p" style="line-height: 35px;">社保等级： </label>
					<div class="am-form-group am-u-sm-8 cl-p">
						<div class="am-u-sm-12 cl-p">
							<select >
								<option  value="option1">第一档</option>
								<option  value="option2">第二档</option>
								<option  value="option3">第三档</option>
							</select>
						</div>
					</div>
				</div>
			</div>
			<div class="am-u-sm-12" style="margin-bottom:10px ;">
				<div class="am-u-sm-6 cl-p">
					<label for="user-name" class="am-u-sm-4 am-form-label cl-p" style="line-height: 35px;" >社保金额： </label>
					<div class="am-form-group am-u-sm-8 cl-p" style="padding-left: 3px;">
						<div class="am-u-sm-12 cl-p">
							<input type="text" class="tpl-form-input"  name="company" value="{$item.company}" style="line-height: 21px;" />
						</div>
					</div>
				</div>
				<div class="am-u-sm-6 cl-p" >
					<label for="user-name" class="am-u-sm-4 am-form-label cl-p" style="line-height: 35px;">经办人： </label>
					<div class="am-form-group am-u-sm-8 cl-p">
						<div class="am-u-sm-12 cl-p" >
							<input type="text" class="tpl-form-input"  name="company" value="{$item.company}"  style="line-height: 21px;" />
						</div>
					</div>
				</div>
			</div>
			<!--<div class="am-u-sm-12" style="margin-bottom:10px ;">

				<div class="am-u-sm-6 cl-p">
					<label for="user-name" class="am-u-sm-4 am-form-label cl-p" style="line-height: 35px;">签署日期： </label>
					<div class="am-form-group am-u-sm-8 cl-p" >
						<div class="am-u-sm-12 cl-p">
							<input type="text" class="am-form-field tpl-form-no-bg" name="company" value="{$item.company}" data-am-datepicker="" readonly="">
						</div>
					</div>
				</div>

			</div>-->
			<!--<div class="am-u-sm-12" style="margin-bottom:10px ;">

				<div class="am-u-sm-12 cl-p">
					<label for="user-name" class="am-u-sm-2 am-form-label cl-p" style="line-height: 35px;">备注说明： </label>
					<div class="am-form-group am-u-sm-10 cl-p" >
						<div class="am-u-sm-12 cl-p">
							<textarea class="" rows="10"  name="company" value="{$item.company}" placeholder="请输入文章内容"></textarea>
						</div>
					</div>
				</div>

			</div>-->
			<div class="am-u-sm-12" style="margin-bottom:10px ;">
				<button type="button" class="am-btn am-btn-sm am-btn-primary am-radius keep">保存</button>
				<a href="/admin/driver/contract" class="am-btn am-btn-sm am-btn-secondary am-radius">返回上一页</a>
			</div>
		</div>
	</form>
</div>